Four eyes in three children, one bilateral and two unilateral cases reported to us with disenclavated retrofixated IOL that were hanging in the vitreous. They underwent explantation of the hanging IOL and intrascleral haptic fixation of a posterior chamber intraocular lens under general anaesthesia. Postoperative period was uneventful. At 3 months best corrected distance visual acuity was 20/30 in three eyes and 20/40 in one eye. The IOLs were well centered and stable in all the eyes.

Conclusions:

Retro-fixated iris claw intra-ocular lenses should be avoided in children. There are high chances of long and short term complications including chances of disenclavation, dislocation, uveitis, posterior segment complications and glaucoma. Eyes with such complications can be managed successfully by explantation of decentered IOL and intrascleral haptic fixation of a posterior chamber intraocular lens.